Attention Veterans
Having difficulty qualifying for a loan to purchase a home? Help may be available.
HomeStrong
USA is a nonprofit organization which provides education and counseling
services to home buyers who are interested in learning more about the
home buying process.
HomeStrong USA also has a program by which you may be able to purchase a home at a 20% discount. Contact HomeStrong USA at www.homestrongusa.org for more information.
For the latest veteran news and information, follow CalVet on Facebook and Twitter.
You
may unsubscribe from this list at any time by sending a “signoff
vetsandiego” or unsubscribe vetsandiego” command in the body of an email
to LISTSERV@LISTSERV.STATE.CA.GOV,
do not include a subject line, or any other information in the body of
the email. You will receive a confirmation email notifying you of your
removal from the list.
HomeStrong USA Housing for Heroes
Program Overview
HomeStrong USA is a HUD-Approved Community Development organization providing education and counseling to distressed homeowners as well as potential buyers such as post-foreclosure participants in order to get families back on track to sustainable homeownership. The Housing for Heroes Program is an affordable homeownership program for local heroes and their families with a focus on those who are now suffering from physical disabilities due to injury, mental disabilities or both. HomeStrong USA provides a path to sustainable homeownership for local heroes through homebuyer education and financial management counseling. HomeStrong USA's Housing for Heroes program allows residents to purchase their home with a 20% discount off of market value creating instant equity for our heroes.
Program Highlights
HomeStrong USA acquires vacant properties, rehabilitates them to high standards, and then sells the properties to Veterans (active and inactive)
HomeStrong USA provides the homes for purchase by Veterans at a 20% discount off of current market value
All participants must work with a HomeStrong USA counselor to determine eligibility
All rehabilitation to properties is provided by veteran-owned construction companies
HomeStrong USA provides mandatory financial management seminars and continued one-on-one counseling
HomeStrong USA counselors are USA Cares Certified Military Housing Specialist
Hero Eligibility
Participants must be active or inactive Military Service Member
Home must be primary residence
Must qualify for a mortgage loan
Must attend financial management seminars and individualized counseling sessions
Heroes Homeowners Club (HHC)
HomeStrong USA requires completion of specific workshops for all Housing for Heroes participants. The training consists of four, three hour sessions. All classes are scheduled on Saturdays and held twice per month. HHC members also have access to HSUSA counselors for personal assistance as needed. The general focus of the required workshops is centered on financial management and Home Buyer Education. The expectation is that each participant will learn how to create and maintain a budget based on their individual financial situation and be sustainable long-term homeowners. Participants will also have access to HomeStrong USA counselors for personal assistance as needed. At a minimum, each participant is required to complete individual one-on-one counseling sessions semiannually. Completion of the
semiannual counseling sessions and four workshops listed below is mandatory. Each participant must complete the following list of educational workshops within 12 months of homeownership. Below is a brief summary of the four workshops and established goals for participants.
Workshop Goals for Participant
Life After Debt (3hrs)
Develop an understanding and acknowledgement of where they were financially and what challenges occurred
Development of Basic Budget Skills
Development of a Spending Plan
Manage Your Money (3hrs)
Identify the 10 basic rules of Money Management
Identify guidelines for the necessities of life
Understanding the difference between “wants” from “needs”
Turning Cents Into Dollars (3hrs)
Practice money savings tips
Successfully demonstrate ability to not overspend again
Living Debt Free (3hrs)
Learn how to reestablish credit and understand importance
Understand who the credit reporting agencies are
Create long-term goals for financial stability
For More Information:
For more information on this exciting new opportunity, you may contact the office of HomeStrong USA.
8711 Monroe Court, Suite A Rancho Cucamonga, CA 91730
Toll Free: (877) 647-8764 Fax: (800) 915-3480
Client/Counselor Contract
HomeStrong USA, its counselors, and approved nonprofit partners agree to provide the following services:
Confidentiality, honesty, respect and professionalism in all services.
Presentation and explanation of reasonable housing options available to client.
Timely completion of promised action.
Identification of assistance resources.
Referrals to needed resources.
I/We, agree to the following terms of service:
I/We will always provide honest and complete information to my/our counselor, whether verbally or in writing.
I/We will provide all necessary documentation and follow-up information within the timeframe requested.
I/We will be on time for appointments.
I/We will call within 6 hours of a scheduled appointment if I/we will be unable to attend an appointment.
I/We will contact the counselor about any changes in our situation immediately.
I/We understand that breaking this agreement may cause the counseling organization to sever its service assistance to me/us.
I/We, also agree to complete the following Financial Management Education Seminars and participate in semiannual counseling sessions to confirm achievement and goals established in training sessions:
Life After Debt “The Next Step”
Manage Your Money
Turning Cents Into Dollars
Living Debt Free
Client Signature Date
___________________________________________________________________
Print Name
Client Signature Date
____________________________________________________________________
Print Name
Privacy Policy
HomeStrong USA is committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all information shared both orally and in writing will be managed within legal and ethical considerations. Your “nonpublic personal information,” such as your total debt information, income, living expenses and personal information concerning your financial circumstances, will be provided to creditors, program monitors, and others only with your authorization and signature on the Authorization for Release of Information. We may also use anonymous aggregated case file information for the purpose of evaluating our services, gathering valuable research information and designing future programs.
Types of information that we gather about you
Information we receive from you orally, on applications or other forms, such as your name, address, social security number, assets, and income;
Information about your transactions with us, your creditors, or others, such as your account balance, payment history, parties to transactions and credit card usage; and
Information we receive from a credit reporting agency, such as your credit history.
Release of your information to third parties
We may disclose some or all of the information that we collect, as described above, to your creditors or third parties where we have determined that it would be helpful to you, would aid us in counseling you, or is a requirement of the federal assistance funding this program.
We may also disclose any nonpublic personal information about you or former customers to anyone as required by law (e.g., if we are compelled by legal process).
Within the organization, we restrict access to nonpublic personal information about you to those employees who need to know that information to provide services to you. We maintain physical, electronic and procedural safeguards that comply with federal and state regulations to guard your nonpublic personal information.
Program Overview
HomeStrong USA is a HUD-Approved Community Development organization providing education and counseling to distressed homeowners as well as potential buyers such as post-foreclosure participants in order to get families back on track to sustainable homeownership. The Housing for Heroes Program is an affordable homeownership program for local heroes and their families with a focus on those who are now suffering from physical disabilities due to injury, mental disabilities or both. HomeStrong USA provides a path to sustainable homeownership for local heroes through homebuyer education and financial management counseling. HomeStrong USA's Housing for Heroes program allows residents to purchase their home with a 20% discount off of market value creating instant equity for our heroes.
Program Highlights
HomeStrong USA acquires vacant properties, rehabilitates them to high standards, and then sells the properties to Veterans (active and inactive)
HomeStrong USA provides the homes for purchase by Veterans at a 20% discount off of current market value
All participants must work with a HomeStrong USA counselor to determine eligibility
All rehabilitation to properties is provided by veteran-owned construction companies
HomeStrong USA provides mandatory financial management seminars and continued one-on-one counseling
HomeStrong USA counselors are USA Cares Certified Military Housing Specialist
Hero Eligibility
Participants must be active or inactive Military Service Member
Home must be primary residence
Must qualify for a mortgage loan
Must attend financial management seminars and individualized counseling sessions
Heroes Homeowners Club (HHC)
HomeStrong USA requires completion of specific workshops for all Housing for Heroes participants. The training consists of four, three hour sessions. All classes are scheduled on Saturdays and held twice per month. HHC members also have access to HSUSA counselors for personal assistance as needed. The general focus of the required workshops is centered on financial management and Home Buyer Education. The expectation is that each participant will learn how to create and maintain a budget based on their individual financial situation and be sustainable long-term homeowners. Participants will also have access to HomeStrong USA counselors for personal assistance as needed. At a minimum, each participant is required to complete individual one-on-one counseling sessions semiannually. Completion of the
semiannual counseling sessions and four workshops listed below is mandatory. Each participant must complete the following list of educational workshops within 12 months of homeownership. Below is a brief summary of the four workshops and established goals for participants.
Workshop Goals for Participant
Life After Debt (3hrs)
Develop an understanding and acknowledgement of where they were financially and what challenges occurred
Development of Basic Budget Skills
Development of a Spending Plan
Manage Your Money (3hrs)
Identify the 10 basic rules of Money Management
Identify guidelines for the necessities of life
Understanding the difference between “wants” from “needs”
Turning Cents Into Dollars (3hrs)
Practice money savings tips
Successfully demonstrate ability to not overspend again
Living Debt Free (3hrs)
Learn how to reestablish credit and understand importance
Understand who the credit reporting agencies are
Create long-term goals for financial stability
For More Information:
For more information on this exciting new opportunity, you may contact the office of HomeStrong USA.
8711 Monroe Court, Suite A Rancho Cucamonga, CA 91730
Toll Free: (877) 647-8764 Fax: (800) 915-3480
Client/Counselor Contract
HomeStrong USA, its counselors, and approved nonprofit partners agree to provide the following services:
Confidentiality, honesty, respect and professionalism in all services.
Presentation and explanation of reasonable housing options available to client.
Timely completion of promised action.
Identification of assistance resources.
Referrals to needed resources.
I/We, agree to the following terms of service:
I/We will always provide honest and complete information to my/our counselor, whether verbally or in writing.
I/We will provide all necessary documentation and follow-up information within the timeframe requested.
I/We will be on time for appointments.
I/We will call within 6 hours of a scheduled appointment if I/we will be unable to attend an appointment.
I/We will contact the counselor about any changes in our situation immediately.
I/We understand that breaking this agreement may cause the counseling organization to sever its service assistance to me/us.
I/We, also agree to complete the following Financial Management Education Seminars and participate in semiannual counseling sessions to confirm achievement and goals established in training sessions:
Life After Debt “The Next Step”
Manage Your Money
Turning Cents Into Dollars
Living Debt Free
Client Signature Date
___________________________________________________________________
Print Name
Client Signature Date
____________________________________________________________________
Print Name
Privacy Policy
HomeStrong USA is committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all information shared both orally and in writing will be managed within legal and ethical considerations. Your “nonpublic personal information,” such as your total debt information, income, living expenses and personal information concerning your financial circumstances, will be provided to creditors, program monitors, and others only with your authorization and signature on the Authorization for Release of Information. We may also use anonymous aggregated case file information for the purpose of evaluating our services, gathering valuable research information and designing future programs.
Types of information that we gather about you
Information we receive from you orally, on applications or other forms, such as your name, address, social security number, assets, and income;
Information about your transactions with us, your creditors, or others, such as your account balance, payment history, parties to transactions and credit card usage; and
Information we receive from a credit reporting agency, such as your credit history.
Release of your information to third parties
We may disclose some or all of the information that we collect, as described above, to your creditors or third parties where we have determined that it would be helpful to you, would aid us in counseling you, or is a requirement of the federal assistance funding this program.
We may also disclose any nonpublic personal information about you or former customers to anyone as required by law (e.g., if we are compelled by legal process).
Within the organization, we restrict access to nonpublic personal information about you to those employees who need to know that information to provide services to you. We maintain physical, electronic and procedural safeguards that comply with federal and state regulations to guard your nonpublic personal information.
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
Housing for Heroes Application
__________________________________________________________________________________
PERSONAL INFORMATION
MEMBER
First Name _______________________________________________________________________
Last Name _______________________________________________________________________
Address _______________________________________________________________________
City _________________________________ State _______ Zip ___________________
Telephone (____)________________ Date of Birth _________________________
Alternate Phone (____)________________ E-mail________________________________
SPOUSE
First Name _______________________________________________________________________
Last Name _______________________________________________________________________
Address _______________________________________________________________________
City _________________________________ State _______ Zip ___________________
Telephone (____)________________ Date of Birth _________________________
Alternate Phone (____)________________ E-mail________________________________
Marital Status (Circle One): Single Married Divorced Separated Widowed
Current Household Type (Please circle the most accurate):
Single adult Married w/o children Married w/ children Two or more unrelated adults Other
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
___________________________________________________________________________________
SERVICE MEMBER DEPENDENTS
Please complete one entry for each legal dependent of the service member eligible for Military/VA benefits as a dependent physically residing in household at the time of application.
Household Size: ____________ Number of Dependents: ____________
First Name ____________________________________________________________
Last Name ____________________________________________________________
Relationship ______________________ Date of Birth ________________________
First Name ____________________________________________________________
Last Name ____________________________________________________________
Relationship ______________________ Date of Birth ________________________
First Name ____________________________________________________________
Last Name ____________________________________________________________
Relationship ______________________ Date of Birth ________________________
First Name ____________________________________________________________
Last Name ____________________________________________________________
Relationship ______________________ Date of Birth ________________________
First Name ____________________________________________________________
Last Name ____________________________________________________________
Relationship ______________________ Date of Birth ________________________
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
Occupation: _______________________________________________________________
For Service Members Only:
Years of Service: _________
Branch of Service: _______________________________________________________________
Pay Grade: _______________________________________________________________
Military Status: ________________________________________________________________
Last 4 digits of SSN: ________________________________________________________________
DD214: ______________________________________________________________________
Date Discharged from Military: ____________________________________________________
Currently Deployed? □ Yes □ No
Disabled? □ Yes □ No
FINANCIAL INFORMATION
INCOME Monthly Amount How Long Received?
Net Paycheck #1
Net Paycheck #2
Dividends
Interest
Soc. Sec. /Pension
Other
TOTAL INCOME
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
Please complete the below monthly expense sheet to the best of your ability. Many items may not able to your situation. A Housing Representative will work with you to complete the sheet upon submission of your application. The key is to be truthful.
Monthly Expenses Date Due Amount
Rent or Mortgage
Electric
Gas
Property Taxes
Water
Property Insurance
Garbage Collection
Transportation
Car Payment
Car Payment
Gasoline
Maintenance
Insurance
Bus/Taxi/Toll/
Parking
Other
Other
Food
Groceries
Work Lunches Bought
School Lunches Bought
Clothing
Clothing
Maintenance
Cleaning
Entertainment
Vacations
Meals Out
Cable/Internet
Other
Savings
Credit Union/Bank
Company Savings Plan
IRA
Other
Monthly Expenses (Cont.) Date Due Amount
Health
Medications
Insurance
Doctor
Dentist
Family
Life Insurance
Child Care
Allowances
Donations
Religious
Charitable
Personal
Barber/Beauty Shop
Tobacco
Tithe
Installment Payments
Credit Union
Credit Card
Credit Card
Department Store Credit
Student Loan
Personal Loan
Other
Other
Miscellaneous
Union/Other Membership Dues
Taxes: Soc. Sec.
Federal
State
Other
Other
TOTAL EXPENSES
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
In your own words, please explain specifically why you are requesting participation in the HomeStrong USA Housing for Heroes Program.
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
The following information is requested by the Federal Government for certain types reporting related to a dwelling in order to monitor compliance with equal opportunity, fair housing disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that an organization may not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this HUD Approved agency is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. Often our grantors and funding sources require ethnic information for demographic purposes. This is collected solely for that purpose and is not used for decision making.
Member □ I do not wish to furnish this information
Race: □ Hispanic or Latino □ Not Hispanic or Latino
Ethnicity
□ White
□ American Indian or Asian Black or African American
□ Alaska Native
□ Native Hawaiian or White
□ Other
□ Pacific Islander
Sex: □ Female □ Male
Spouse □ I do not wish to furnish this information
Race: □ Hispanic or Latino □ Not Hispanic or Latino
Ethnicity:
□ White
□ American Indian or Asian Black or African American
□ Alaska Native
□ Native Hawaiian or White
□ Other
□ Pacific Islander Other Pacific Islander
Sex: □ Female □ Male
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
To the best of my knowledge, I hereby certify that the information provided on this application is complete, accurate, and true. I agree and understand that by submitting this application I authorize HomeStrong USA to send me emails, newsletters, and customer satisfaction surveys.
I also agree to attend all required financial management workshops and continued education counseling sessions associated with my participation in the HomeStrong USA Housing for Heroes program.
___________________________________________________ Date _______________________
Member Signature
___________________________________________________ Date _______________________
Spouse Signature
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
Client/Counselor Contract
HomeStrong USA, its counselors, and approved nonprofit partners agree to provide the following services:
Confidentiality, honesty, respect and professionalism in all services.
Presentation and explanation of reasonable housing options available to client.
Timely completion of promised action.
Identification of assistance resources.
Referrals to needed resources.
I/We, agree to the following terms of service:
I/We will always provide honest and complete information to my/our counselor, whether verbally or in writing.
I/We will provide all necessary documentation and follow-up information within the timeframe requested.
I/We will be on time for appointments.
I/We will call within 6 hours of a scheduled appointment if I/we will be unable to attend an appointment.
I/We will contact the counselor about any changes in our situation immediately.
I/We understand that breaking this agreement may cause the counseling organization to sever its service assistance to me/us.
I/We, also agree to complete the following Financial Management Education Seminars and participate in semiannual counseling sessions to confirm achievement and goals established in training sessions:
Life After Debt “The Next Step”
Manage Your Money
Turning Cents Into Dollars
Living Debt Free
Member Signature Date
___________________________________________________________________
Print Name
Spouse Signature Date
____________________________________________________________________
Print Name
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
Privacy Policy
HomeStrong USA is committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all information shared both orally and in writing will be managed within legal and ethical considerations. Your “nonpublic personal information,” such as your total debt information, income, living expenses and personal information concerning your financial circumstances, will be provided to creditors, program monitors, and others only with your authorization and signature on the Authorization for Release of Information. We may also use anonymous aggregated case file information for the purpose of evaluating our services, gathering valuable research information and designing future programs.
Types of information that we gather about you
Information we receive from you orally, on applications or other forms, such as your name, address, social security number, assets, and income;
Information about your transactions with us, your creditors, or others, such as your account balance, payment history, parties to transactions and credit card usage; and
Information we receive from a credit reporting agency, such as your credit history.
Release of your information to third parties
We may disclose some or all of the information that we collect, as described above, to your creditors or third parties where we have determined that it would be helpful to you, would aid us in counseling you, or is a requirement of the federal assistance funding this program.
We may also disclose any nonpublic personal information about you or former customers to anyone as required by law (e.g., if we are compelled by legal process).
Within the organization, we restrict access to nonpublic personal information about you to those employees who need to know that information to provide services to you. We maintain physical, electronic and procedural safeguards that comply with federal and state regulations to guard your nonpublic personal information.
Housing for Heroes Application
__________________________________________________________________________________
PERSONAL INFORMATION
MEMBER
First Name _______________________________________________________________________
Last Name _______________________________________________________________________
Address _______________________________________________________________________
City _________________________________ State _______ Zip ___________________
Telephone (____)________________ Date of Birth _________________________
Alternate Phone (____)________________ E-mail________________________________
SPOUSE
First Name _______________________________________________________________________
Last Name _______________________________________________________________________
Address _______________________________________________________________________
City _________________________________ State _______ Zip ___________________
Telephone (____)________________ Date of Birth _________________________
Alternate Phone (____)________________ E-mail________________________________
Marital Status (Circle One): Single Married Divorced Separated Widowed
Current Household Type (Please circle the most accurate):
Single adult Married w/o children Married w/ children Two or more unrelated adults Other
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
___________________________________________________________________________________
SERVICE MEMBER DEPENDENTS
Please complete one entry for each legal dependent of the service member eligible for Military/VA benefits as a dependent physically residing in household at the time of application.
Household Size: ____________ Number of Dependents: ____________
First Name ____________________________________________________________
Last Name ____________________________________________________________
Relationship ______________________ Date of Birth ________________________
First Name ____________________________________________________________
Last Name ____________________________________________________________
Relationship ______________________ Date of Birth ________________________
First Name ____________________________________________________________
Last Name ____________________________________________________________
Relationship ______________________ Date of Birth ________________________
First Name ____________________________________________________________
Last Name ____________________________________________________________
Relationship ______________________ Date of Birth ________________________
First Name ____________________________________________________________
Last Name ____________________________________________________________
Relationship ______________________ Date of Birth ________________________
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
Occupation: _______________________________________________________________
For Service Members Only:
Years of Service: _________
Branch of Service: _______________________________________________________________
Pay Grade: _______________________________________________________________
Military Status: ________________________________________________________________
Last 4 digits of SSN: ________________________________________________________________
DD214: ______________________________________________________________________
Date Discharged from Military: ____________________________________________________
Currently Deployed? □ Yes □ No
Disabled? □ Yes □ No
FINANCIAL INFORMATION
INCOME Monthly Amount How Long Received?
Net Paycheck #1
Net Paycheck #2
Dividends
Interest
Soc. Sec. /Pension
Other
TOTAL INCOME
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
Please complete the below monthly expense sheet to the best of your ability. Many items may not able to your situation. A Housing Representative will work with you to complete the sheet upon submission of your application. The key is to be truthful.
Monthly Expenses Date Due Amount
Rent or Mortgage
Electric
Gas
Property Taxes
Water
Property Insurance
Garbage Collection
Transportation
Car Payment
Car Payment
Gasoline
Maintenance
Insurance
Bus/Taxi/Toll/
Parking
Other
Other
Food
Groceries
Work Lunches Bought
School Lunches Bought
Clothing
Clothing
Maintenance
Cleaning
Entertainment
Vacations
Meals Out
Cable/Internet
Other
Savings
Credit Union/Bank
Company Savings Plan
IRA
Other
Monthly Expenses (Cont.) Date Due Amount
Health
Medications
Insurance
Doctor
Dentist
Family
Life Insurance
Child Care
Allowances
Donations
Religious
Charitable
Personal
Barber/Beauty Shop
Tobacco
Tithe
Installment Payments
Credit Union
Credit Card
Credit Card
Department Store Credit
Student Loan
Personal Loan
Other
Other
Miscellaneous
Union/Other Membership Dues
Taxes: Soc. Sec.
Federal
State
Other
Other
TOTAL EXPENSES
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
In your own words, please explain specifically why you are requesting participation in the HomeStrong USA Housing for Heroes Program.
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
The following information is requested by the Federal Government for certain types reporting related to a dwelling in order to monitor compliance with equal opportunity, fair housing disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that an organization may not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this HUD Approved agency is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. Often our grantors and funding sources require ethnic information for demographic purposes. This is collected solely for that purpose and is not used for decision making.
Member □ I do not wish to furnish this information
Race: □ Hispanic or Latino □ Not Hispanic or Latino
Ethnicity
□ White
□ American Indian or Asian Black or African American
□ Alaska Native
□ Native Hawaiian or White
□ Other
□ Pacific Islander
Sex: □ Female □ Male
Spouse □ I do not wish to furnish this information
Race: □ Hispanic or Latino □ Not Hispanic or Latino
Ethnicity:
□ White
□ American Indian or Asian Black or African American
□ Alaska Native
□ Native Hawaiian or White
□ Other
□ Pacific Islander Other Pacific Islander
Sex: □ Female □ Male
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
To the best of my knowledge, I hereby certify that the information provided on this application is complete, accurate, and true. I agree and understand that by submitting this application I authorize HomeStrong USA to send me emails, newsletters, and customer satisfaction surveys.
I also agree to attend all required financial management workshops and continued education counseling sessions associated with my participation in the HomeStrong USA Housing for Heroes program.
___________________________________________________ Date _______________________
Member Signature
___________________________________________________ Date _______________________
Spouse Signature
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
Client/Counselor Contract
HomeStrong USA, its counselors, and approved nonprofit partners agree to provide the following services:
Confidentiality, honesty, respect and professionalism in all services.
Presentation and explanation of reasonable housing options available to client.
Timely completion of promised action.
Identification of assistance resources.
Referrals to needed resources.
I/We, agree to the following terms of service:
I/We will always provide honest and complete information to my/our counselor, whether verbally or in writing.
I/We will provide all necessary documentation and follow-up information within the timeframe requested.
I/We will be on time for appointments.
I/We will call within 6 hours of a scheduled appointment if I/we will be unable to attend an appointment.
I/We will contact the counselor about any changes in our situation immediately.
I/We understand that breaking this agreement may cause the counseling organization to sever its service assistance to me/us.
I/We, also agree to complete the following Financial Management Education Seminars and participate in semiannual counseling sessions to confirm achievement and goals established in training sessions:
Life After Debt “The Next Step”
Manage Your Money
Turning Cents Into Dollars
Living Debt Free
Member Signature Date
___________________________________________________________________
Print Name
Spouse Signature Date
____________________________________________________________________
Print Name
www.homestrongusa.org (877) 647-8764 Info@HomeStrongUSA.Org
Privacy Policy
HomeStrong USA is committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all information shared both orally and in writing will be managed within legal and ethical considerations. Your “nonpublic personal information,” such as your total debt information, income, living expenses and personal information concerning your financial circumstances, will be provided to creditors, program monitors, and others only with your authorization and signature on the Authorization for Release of Information. We may also use anonymous aggregated case file information for the purpose of evaluating our services, gathering valuable research information and designing future programs.
Types of information that we gather about you
Information we receive from you orally, on applications or other forms, such as your name, address, social security number, assets, and income;
Information about your transactions with us, your creditors, or others, such as your account balance, payment history, parties to transactions and credit card usage; and
Information we receive from a credit reporting agency, such as your credit history.
Release of your information to third parties
We may disclose some or all of the information that we collect, as described above, to your creditors or third parties where we have determined that it would be helpful to you, would aid us in counseling you, or is a requirement of the federal assistance funding this program.
We may also disclose any nonpublic personal information about you or former customers to anyone as required by law (e.g., if we are compelled by legal process).
Within the organization, we restrict access to nonpublic personal information about you to those employees who need to know that information to provide services to you. We maintain physical, electronic and procedural safeguards that comply with federal and state regulations to guard your nonpublic personal information.
No comments:
Post a Comment